Provider Demographics
NPI:1215159520
Name:MORRISON, CHRISTINA BETH (ATC)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:BETH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 125A
Mailing Address - Street 2:
Mailing Address - City:RAVENSWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26164-9782
Mailing Address - Country:US
Mailing Address - Phone:304-273-2268
Mailing Address - Fax:
Practice Address - Street 1:MULBERRY STREET
Practice Address - Street 2:WIRT COUNTY HIGH SCHOOL
Practice Address - City:ELIZABETH
Practice Address - State:WV
Practice Address - Zip Code:26143
Practice Address - Country:US
Practice Address - Phone:304-275-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer